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目的:探讨肝硬化合并糖尿病的临床特点,为临床诊治提供依据。方法:回顾性分析龙游县人民医院收治的468例肝硬化患者的临床资料,根据其并发糖尿病与否分为并发组和对照组,对比分析肝硬化合并糖尿病的临床特点。结果:肝硬化合并糖尿病患者具有年龄大、肝病病程长、child-pugh分级反应肝功能差,肝病后肝硬化、酒精性肝硬化、并发上消化道出血、并发自发性腹膜炎、并发电解质紊乱和并发肝性脑病高,以及空腹血糖和糖化血红蛋白水平高等特点。结论:肝硬化合并糖尿病临床特点复杂,积极控制原发病,应加强糖尿病监测,做到早诊断、早治疗。
Objective: To investigate the clinical features of cirrhosis complicated with diabetes and provide the basis for clinical diagnosis and treatment. Methods: The clinical data of 468 cirrhotic patients treated in Longyou County People’s Hospital were analyzed retrospectively. According to their concurrent diabetes, the clinical features of cirrhosis and diabetes were compared. Results: Patients with cirrhosis and diabetes have long history of liver disease, poor liver-function in child-pugh classification, cirrhosis of liver, cirrhosis of liver, alcoholic cirrhosis, upper gastrointestinal bleeding, spontaneous peritonitis, electrolyte disturbance and concomitant Hepatic encephalopathy high, and fasting blood glucose and glycated hemoglobin level higher characteristic. Conclusion: The clinical features of cirrhosis complicated with diabetes are complex, and the primary disease should be controlled actively. Therefore, the monitoring of diabetes should be strengthened and early diagnosis and early treatment should be done.